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The Potential of Food Fortification as an Enabler of More Environmentally Sustainable, Nutritionally Adequate Diets

2023 Abstract: Policies encouraging shifts towards more plant-based diets can lead to shortfalls in mi-cronutrients typically present in animal products (B-vitamins, vitamin D, calcium, iodine, iron, selenium, zinc, and long-chain omega-3 fatty acids). We modelled the effect of fortifying foods with these critical micronutrients, with the aim of achieving nutrition and sustainability goals, using food …

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Exploring the Complementarity of Fortification and Dietary Diversification to Combat Micronutrient Deficiencies: A Scoping Review

2023 Abstract Achieving a balanced and diverse diet remains a challenge for many people, contributing to an ongoing burden of micronutrient de-ficiencies, particularly in low-income settings. Fortification or dietary diversification are common food-based approaches. We conducted a scoping review to: 1) find evidence on whether combined food–based strategies are more effective than single strategies, and …

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Handbook for the Production ofExtruded Fortified Rice Kernels

This Handbook was developed as a response to the growing interest in rice fortification using extrusion technology. Manufacturers of fortified kernels and programme personnel expressed a need to have a readily available handbook that could answer key questions related to the effects of extrusion technology on this product’s fundamental quality attributes. This Handbook would not …

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A generic theory of change-based framework with indicators for monitoring the effectiveness of large-scale food fortification programs in low- and middle- income countries

2023 Large-scale food fortification (LSFF) programs are widely implemented in low- and middle-income countries (LMIC) to alleviate micronutrient deficiencies. However, these programs may not achieve the desired impact due to poor design or bottlenecks in program implementation. Monitoring and evaluation (M&E) frameworks and a set of agreed indicators can help to benchmark progress and to …

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Standard Operating Procedure: Qualitative Spot Test for Iron in Fortified Rice

Purpose: The purpose of this test is to quickly and inexpensively assess the presence of fortified kernels(containing iron) in fortified rice.In this test, reagents react with ferric (iron) ions to generate a dark brown‐red pigment. Thus, this test will not work on fortified rice using fortified kernels that do not contain iron. This is a …

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Worksheet for Feasibility, Implementation, and Monitoring of Imported Fortified Rice

When rice is shipped, the imported commodity is usually milled rice, rather than paddy rice. At various points in the imported rice supply chain, rice can be fortified with vitamins and mineral to improve the nutrient intake of consumers. This worksheet will guide stakeholders in countries considering mandating fortification of rice imports. Part A: Decide …

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Industry Self-Regulation of Food Fortification Compliance: Piloting the Micronutrient Fortification Index in Nigeria

2022 Abstract Sustaining large-scale and good-quality food fortification requires strategies that incentivize food processors to invest in andconsistently meet national food fortification standards where they exist. A standardized Micronutrient Fortification Index (MFI)piloted in Nigeria has provided a ranking of fortified branded products for each participating company, based on a scoreaggregating the effectiveness and efficiency of …

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Checklist of Key Items to Include in Fortification Legislation, Standards, and Monitoring Documents

2018 Review your national fortification documentation and note in the column at right whether it contains the key item. If the item is weak or missing, see sample language to use. Source: Marks KJ, Luthringer CL, Ruth LJ, et al. Review of grain fortification legislation, standards, and monitoring documents. Glob Health Sci Pract. 2018;6(2). https://doi.org/10.9745/GHSP-D-17-00427

Exploring the Use of the WHO Micronutrients Database to Identify Pre-and Post-Fortification Biomarker Data for Countries with Mandatory Grain Fortification

July 2023 EXECUTIVE SUMMARY One way to assess if mandatory grain (wheat flour, maize flour, rice) fortification is effective is to compare biomarkers of nutritional status in a subset of the population before and after fortification starts. WHO has a Vitamin and Mineral Nutrition Information System (VMNIS) which collates micronutrient biomarker data available for multiple …

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Food fortification: An effective and safe way to fight micronutrient malnutrition and its consequences

Why fortify staple foods? Vitamin and mineral deficiencies affect around 2 billion people worldwide and have been identified as a global health issue in many low- and middle-income countries. Micronutrients (often referred to as vitamins and minerals) are essential for the body to function. Deficiency of micronutrients can be linked to anemia, adverse birth outcomes, …

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